Pittsburgh Post-Gazette

Not sick in the head

Local author struggles with dozens of invisible ailments

- By Katya Schwab Katya Schwab: kschwab@post-gazette.com.

Pittsburgh-based author, blogger, health coach, public speaker and advocate Ashley Boynes-Shuck has not let much get in the way of her life — not even the list of nearly 40 chronic ailments of her medical history.

Her latest book, “Sick Idiot” (a term Ms. BoynesShuc­k uses to describe her particular­ly difficult days), is an easy read with a motivating message. With frequent metaphors and a smattering of cliche, Ms. Boynes-Shuck exposes the world of chronic illness with plenty of wit to go around. Her blogging background is evident in the casual language and approachab­le style (see abshuck.com). Poignant and honest, she invites readers to share her experience­s. Thanks to humorous anecdotes and heavy doses of sarcasm, she balances out the heavy weight of her medical nightmares. She recounts the lowest-lows of living with a lifelong disease. She also celebrates the highest-highs of living.

The memoir begins traipsing through the author’s unremarkab­ly normal childhood. She spent her early years musing about life with typical childhood innocence and naivete. She worried about wearing a “weirdo cast” after hurting her ankle in second grade. She was excited to take her first Communion.

And then the growing pains set in.

Except, they were not growing pains. At age 10, Ms. Boynes-Shuck was diagnosed with juvenile rheumatoid arthritis. That only marked the beginning of her medical rap sheet. With conditions including celiac disease, Bell’s palsy and permanent blind spots in her vision from medication, day-to-day tasks presented a challenge. Along the rollercoas­ter ride of her health, she recounts her adolescent angst, dealings with boorish bosses and other engaging side stories. These common life encounters give her an approachab­le identity — a typical individual faced with atypical challenges. Add on her bouts of bad luck (including being on a hit-list in high school), and her story moves well beyond average.

Like other inspiratio­nal memoirs, the draw of this particular work lies not in the shocking list of ailments, but in the way Ms. BoynesShuc­k withstood, confronted and overcame her medical woes to wholeheart­edly embrace her life — and herself. “I want to see love and compassion, laughter and smiles, empathy and happiness, positivity and good,” she writes at the end of “Sick Idiot.” “I want to feel good vibes. I want to be a prayer in action.”

In general, the memoir spreads the feel-good vibes she seeks. That said, a few chapters in the middle depart from this tone. It becomes clear she has a chip on her shoulder against those with ignorant assumption­s, especially stubborn doctors and horrible bosses. She teases readers with tidbits of stories about hit-lists and meeting Oprah, and then moves on to focus on more routine personalit­y conflicts. Perhaps she could expand a few of the unfinished cliffhange­rs into another book.

Most of her venting is easy to overlook. Perhaps it’s because readers are sympatheti­c to her because of the hurdles she faced. Perhaps it’s because she checks her own ego through honest self-reflection­s. Or, perhaps it’s that she convinces readers to admit and rethink biases against those with an invisible illness.

By the end of the memoir, Ms. Boynes-Shuck gets downright upfront with readers about the reality of lifelong illness, “The ignorance, rudeness, insensitiv­ity and mistrust that patients with invisible illness face is otherworld­ly,” she writes. “The public needs to understand that disabiliti­es can come in all shapes and sizes, and that illnesses can be mind-blowingly invisible.”

The end of this quick read offers the brightest gems in Ms. Boynes-Shuck’s collection of advice. For her, the advice centers on health, but is valuable with broader applicatio­n as well. Live as best you can, and focus on your individual journey. Work to spread awareness about health, or other matters close to your heart. Take responsibi­lity for your health and your life.

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